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Individual

MR. CHESTER DELFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
515 TAGGART DR NW STE 150, SALEM, OR 97304-4149
(503) 363-6770
(503) 363-4789
Mailing address
3270 LIBERTY RD. S., SALEM, OR 97302
(503) 371-0779
(503) 371-0886

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6109
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500737075
OR
Enumeration date
12/12/2017
Last updated
08/29/2019
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